Privacy Statement and Policy
terms "Lowcountry Psychiatric Associates," "we" and "our" and "LPA" refer to Lowcountry Psychiatric Associates.
If you have any questions about this notice, please call LPA at 843-757-4737.
LPA is required by law to provide you with
this notice and to abide by the terms of its current notice.
September 13, 2011
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
WHAT IS THIS NOTICE?
This notice tells you: How we use and release your health information; Your rights concerning your health information; Our
responsibilities to protect your health information.
TO WHOM DOES THIS NOTICE APPLY? This notice applies to all members and employees of LPA.
WHAT ARE OUR RESPONSIBILITIES TO YOU? Your health information is
personal. We are required by law to protect the privacy of your health
information and will only release your health information as allowed by
law or with special written permission (authorization) from you. We use
the least amount of health information needed to do our work. Only
those who need your health information to provide services are allowed
to use it. We protect your information whether verbal, on paper or
WHEN IS THE NOTICE EFFECTIVE? This notice is effective on September 13, 2011. LPA reserves the right to change this
notice after the effective date. We reserve the right to make the
revised notice apply for all health information that we already have
about you, as well as any information we receive in the future. The
current notice will be available on our Web site at www.lowcountrypsych.com
Business Activities - We may use or release your health information to
perform internal business activities. Examples include: business
planning, computer systems maintenance, legal services and customer
Required By Law - Sometimes we must report some of your
health information to legal officials or authorities, such as law
enforcement officials, court officials, governmental agencies or
attorneys. Examples include: reporting suspected abuse or neglect,
reporting domestic violence or certain physical injuries, or responding
to a court order, subpoena, warrant or lawsuit request.
Activities - We may be required to report your health information to
authorities to help prevent or control disease, injury or disability.
Examples include: reporting certain diseases, injuries, birth or death
information; information of concern to the Food and Drug
Administration; or information related to child abuse or neglect. We
may also have to report to your employer certain work-related illnesses
and injuries so that your workplace can be monitored for safety. Health
Oversight Agencies - We may be required to release health information
to authorities so they can monitor, investigate, inspect, discipline or
license those who work in the health-care system, or for governmental
Activities Related to Death - We may be required to release health
information to coroners, medical examiners and funeral directors so
they can carry out their duties related to your death. Examples
include: identifying the body, determining the cause of death, or, in
the case of funeral directors, carrying out funeral preparation
activities. Organ, Eye or Tissue Donation - In the event of your death,
we may release your health information to organizations involved with
obtaining, storing or transplanting organs, eyes or tissue to determine
your donor status.
HOW DO WE USE AND RELEASE YOUR HEALTH INFORMATION?
LPA has the right to use and release some of your
health information to conduct its business. The following section
explains some of the ways we are permitted to use and release health
information without authorization from you.
USE AND RELEASE OF YOUR HEALTH INFORMATION WITHOUT YOUR AUTHORIZATION:
While we are providing you with health-care
services, we may need to share your health information with other
health-care providers or other individuals who are involved in your
treatment. Examples include: doctors, hospitals, pharmacists,
therapists, nurses and labs that are involved in your care.
LPA may need to share a
limited amount of health information to obtain or provide payment for
the health-care services provided to you. Examples include: Eligibility--LPA may contact the company or government
program that will be paying for your health care. This helps us
determine if you are eligible for benefits, and if you are responsible
for paying a co-payment or deductible.
Claims--LPA and businesses we work with
share health information for billing and payment purposes. For example,
your doctor must submit a claim form to get paid, and the claim form
must contain certain health information.
HEALTH-CARE OPERATIONS PURPOSES: LPA may
need to share your health information in the course of conducting
health-care business activities that are related to providing health
care to you. Examples include: Quality Improvement Activities... LPA may use and release health information to
improve the quality or the cost of care. This may include reviewing the
treatment and services provided to you. This information may be shared
with those who pay for your care, or with other agencies that review
Health Promotion and Disease Prevention - We may use your health
information to tell you about disease prevention and health-care
options. For instance, we may send you health-care information on
issues such as women's health, cancer or asthma.
Case Management and Referral - If you have a health problem or a
health-care need is identified by you or one of your providers, you may
be referred to an organization such as a home health agency,
medical-equipment company or other community or government program.
This may require the release of your health information to these
Appointment Reminders: LPA may use your
health records to remind you of recommended services, treatments or
Business Associates - There are some services provided at LPA, through contracts with business associates such
as medical transcription services and record storage. We require
business associates to protect your health information.
Audits: LPA may use or release your health
information to make sure that its business practices comply with the
law and LPA's policies. Examples include
audits involving quality of care, medical bills or patient
Research Purposes - At times, we may use or release health information
about you for research purposes; however, all research projects require
a special approval process before they begin. This process may include
asking for your authorization. In some instances, your health
information may be used but your identity is protected.
To Avoid a Serious Threat to Health or Safety - As required by law and
standards of ethical conduct, we may release your health information to
the proper authorities if we believe, in good faith, that such release
is necessary to prevent or minimize a serious and approaching threat to
anyone's health or safety.
Military, National Security or Incarceration/Law Enforcement Custody -
We may be required to release your health information to the proper
authorities so they may carry out their duties under the law. This may
be the case if you are in the military or involved in national security
or intelligence activities, or if you are in the custody of
Worker's Compensation - We may be required to release your health
information to the appropriate persons to comply with the laws related
to workers' compensation or other similar programs that provide
benefits for work-related injuries or illness.
USE AND RELEASE OF YOUR HEALTH INFORMATION REQUIRING YOUR AUTHORIZATION
Persons Involved in Your Care - In certain situations, we may release
health information about you to persons involved with your care, such
as friends or family members. We may also give information to someone
who helps pay for your care. You have the right to approve such
releases, unless you are unable to function, or if there is an
WHEN IS YOUR AUTHORIZATION REQUIRED?
Except for the types of situations listed above, we must obtain your
authorization for any other types of releases of your health
information. If you provide us authorization to use or release health
information about you, you may cancel that authorization in writing at
any time. Any authorization you sign may be cancelled by following the
instructions described on the authorization form. You may receive more
information about this by contacting the privacy officer.
WHAT ARE YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION?
LPA wants you to know your rights regarding your health information.
Right to Receive This Notice of Privacy Practices? You have the right
to receive a paper copy of this notice at any time.
Right to Request Confidential Communications? You have the right to ask
that LPA communicate your health
information to you in different ways or places. For example, you can
ask that we only contact you by telephone at work, or that we only
contact you by mail at home. We will do this whenever it is reasonably
possible. You can find out how to make such a request by contacting the
Right to Request Restrictions? You have the right to request
restrictions or limitations on how your health information is used or
released. We have the right to deny your request. You may obtain
information on how to ask for a restriction on the use or release of
your information by contacting the clinic manager or the privacy
Right to Access - With a few exceptions, you have the right to
review and receive a copy of your health information. Some of the
exceptions include: Psychotherapy notes; Information gathered for court
proceedings; And any information your provider feels would cause you to
commit serious harm to yourself or to others.
You can get a copy of your health information by submitting a request
in writing to LPA. The phone number is 843-757-4737. We may charge you a fee to copy and/or mail your health
record to you. If you are denied access to your health record for any
reason, LPA will tell you the reasons in
writing. We will also give you information about how you can file an
appeal if you are not satisfied with our decision.
Right to Amend - You have the right to ask that LPA's information in your health record be changed if it
is not correct or complete. You must provide the reason why you are
asking for a change. You may request a change by sending a request in
writing to LPA. We may deny your request if: We did not create the
information; We do not keep the information; You are not allowed to see
and copy the information; or The information is already correct and
Right to a Record of Releases - You have the right to ask for a list of
releases of your health information by sending a request in writing to
the privacy officer at the address at the end of this notice. Your
request may not include dates before September 13, 2011. If you request a
record of releases more than once per year, LPA may charge a fee for providing the list. The list will contain
only information that is required by law. This list will not include
releases for treatment, payment, health-care operations or releases
that you have authorized
WHAT CAN YOU DO IF YOU HAVE A COMPLAINT ABOUT HOW YOUR HEALTH INFORMATION IS HANDLED?
If you believe that your privacy rights have been violated, you may
file a complaint with LPA or with the
Secretary of Health and Human Services. To receive help in filing a
complaint with LPA, you may contact our
privacy officer at the address at the end of this notice. You will not
be denied treatment or penalized in any way if you file a complaint.
PRIVACY OFFICER CONTACT INFORMATION
Lowcountry Psychiatric Associates
25 Clarks Summit Drive--F201
Bluffton SC 29910